Healthcare Provider Details

I. General information

NPI: 1053044529
Provider Name (Legal Business Name): ASHLEY MARILYN YAO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2022
Last Update Date: 07/02/2022
Certification Date: 07/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

3607 AUGUSTA DR
CHESTER SPRINGS PA
19425-2138
US

V. Phone/Fax

Practice location:
  • Phone: 919-522-2600
  • Fax:
Mailing address:
  • Phone: 919-522-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP456663
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051304170
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH200004390
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: